ICF and Application in Clinical Practice
Original Editor - Ewa Jaraczewska based on the course by Patricia Saleeby
Top Contributors - Ewa Jaraczewska, Jess Bell and Tarina van der Stockt
Introduction[edit | edit source]
A comprehensive and holistic nature of the International Classification of Functioning, Disability and Health (ICF) makes it extremely useful in clinical practice. [1] The primary purpose of applying the ICF into clinical practice is to establish a common language for defining health and health-related states between different providers.[2] It improves communication in decision making among healthcare and social care professionals, which is essential for making more informed assessments, developing more effective interventions, and achieving good patient outcomes.[1]
Overview of ICF[edit | edit source]
The ICF defines the interaction between health conditions, personal and social factors, daily life activities and social life.[3]The relationship of these various domains and components is reciprocal, which explains how they interact with one another.[1]
The following are the characteristics of the ICF:[4]
- The ICF is universal: applies to all people regardless of age, gender, socioeconomic and health condition
- The ICF is neutral : does not depend person's functioning on the cause of their health status
- The ICF uses neutral language when describing health and health-related states
- The ICF provides continuum between functioning and disability
Framework[edit | edit source]
The ICF is a biopsychosocial model of functioning, health and disability. By using a standard language to define and measure disability, the ICF helps to explain how person's body problems and social circumstances effect person's functioning.
Definitions for the ICF Domains/Components[edit | edit source]
Based on the ICF model, the person is viewed in terms of their health conditions, their body functions and structures, their activities and participation, and their environmental and personal factors.[1]
- Health condition: "an umbrella term for disease, disorder, injury, trauma"[4]
- Body Functions:" physiological functions of body system, including psychological functions"
- Body Structures: "anatomical parts of the body, such as organ, limbs and their components"
- Activity: "execution of a task or action by an individual"
- Participation:
ICF-Based Tools/ICF Informed Tools[edit | edit source]
The ICF-based tools, the ICF-informed tools (WHODAS, ICF checklist)
WHO Disability Assessment Schedule[edit | edit source]
The WHO Disability Assessment Schedule enable clinical professionals to create functional profiles of their patients to develop more informed interventions. In this assessment all relevant domains are included: health conditions, activities and participation, and environmental factors. Thus, the ICF can be useful at enhancing decision making among healthcare and social care professionals.
Case Study[edit | edit source]
The patient sustained a burn injury to the hand causing damage to the integrity of the skin structure.
Goals:
- Defining ICF codes that correspond to this patient's injury for the purpose of assessment
- Choosing ICF developed qualifiers or qualifiers specific to the profession you represent
Body structure codes (s codes) according to specificity :
- s810: structures of the area of skin
- s8102:skin of the upper extremity
Body functions (b codes) following the skin healing process:
- b810: protective functions of the skin may be impaired temporarily
- b820: functions of the skin for repairing breaks and other damage to the skin (from wound stage to scar formation)
- Inclusion and exclusion criteria can be applied to the body functions domain:
- Inclusion: function of scab formation, healing, scaring; bruising and keloid formation
- Exclusion: protective function of the skin; other functions of the skin.
- Inclusion and exclusion criteria can be applied to the body functions domain:
Core Sets[edit | edit source]
Clinical Forms[edit | edit source]
Rehabilitation Problem-Solving Form (RPS-Form)[edit | edit source]
Physical Therapy Clinical Reasoning and Reflection Tool (PTCRT)[edit | edit source]
Cross-Walking of the ICF[edit | edit source]
Resources[edit | edit source]
- bulleted list
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or
- numbered list
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References[edit | edit source]
- ↑ 1.0 1.1 1.2 1.3 Saleeby P. ICF and Application in Clinical Practice Course. Plus 2022
- ↑ Aims of the ICF. Available form https://www.icf-elearning.com/wp-content/uploads/ [last access 9.09.2022]
- ↑ Pasqualotto L, Lascioli A. ICF-based functional profile in education and rehabilitation: a multidisciplinary pilot experience. Journal of advanced health care, 2020; 2(1)
- ↑ 4.0 4.1 The ICF model. Available from https://www.icf-elearning.com/wp-content/uploads/articulate_uploads/ [last access 9.09.2022]